Inflammation lies at the bottom of chronic disease - diabetes, high blood pressure, arthritis, some forms of depression and anxiety, heart disease, stroke, COPD (chronic bronchitis), osteoporosis, certain cancers, chronic pain, autoimmune diseases, Alzheimer’s and other dementias, allergies, asthma, eczema and other skin diseases, heartburn, gastritis – and so many more. Yes, often you would not get these diseases if you didn’t have the right (or wrong) genes. But let’s face it: Most of us carry the genes for those diseases. All we need is a bad lifestyle to trigger chronic ailments. All of which make your life miserable.

Of course, the main reason for the development of chronic diseases is that we are reaching older age than we used to – we have more time to hatch illness. But it is not that old age automatically renders you invalid and decrepit. One can have a healthy old age! But it takes some luck, and some effort.

So what are the habits that trigger chronic inflammation and chronic diseases? The usual – and well-known - culprits: Inappropriate diet, too little movement (or too much!), environmental pollution of water, air and soil, psychological stress, unhappy relationships, unfulfilling jobs, drugs (medical and recreational), deficient water intake, unnecessary drugs, overweight and obesity, vitamin D deficiency, unnecessary antibiotics that kill the natural microbiome in our guts and on our skin. Another list that could go on and on.

How do you tell that inflammation is damaging your body? Well, if you already have a chronic disease - that is the proof of the pudding. But If you are at the stage before a doctor runs some tests and finally makes the diagnosis – if you are in the pre-stages of disease – you might inspect your fingers for the telltale signs of inflammation: a red halo around the root of the nail, at the area of the nail bed.

That halo can be thin and faint, and it can be thick and swollen. In some patients, the redness goes up half their digits, or higher. It is an early sign of inflammation, and one doctors usually don’t know about. In fact, I didn’t learn this in medical school – I observed it in my patients.

The beauty of it? If you clean up your act, the halos get smaller and paler – you see within a few days that you are on the way to improvement. Especially if you leave out some offending allergenic food – the most common guilty parties here are dairy, gluten, nuts, sugar.

Why is it that your fingertips can tell me the state of your health, the degree of inflammation? Traditional Chinese Medicine uses the tongue to tell about illness and well-being. My favorite European teacher Sebastian Kneipp used to base his diagnoses and prognoses on the shape and color of the earlobes; he must have come to it by simple observation, just as I did. The tongue, the earlobes, the fingertips – why those? Mainly because they are easily visible. For sure, if your body is riddled with inflammation, you will have signs of it in nearly all your inner organs. But the inner organs are hidden from direct inspection. For evaluating the tongue, I’d have to ask the patient to open her mouth. Earlobes and fingers are there for the looking. – Your fingers and nails can tell the doctor much more about your health (or un-health). But the FFD is easy for lay people.

Let me tell you right away that I don’t yet know if only food allergies can trigger the redness of the fingers, or if other toxins or pathology processes do it too. I would think so. But there has been no study yet, just quiet observation on my patients.

What I like about the Fleckenstein Finger Diagnosis (FFD): It is a do-it-yourself tool. You don’t need me to tell you something is wrong. You just need to look down on your fingertips. And if you see a reddish halo: Get up from your chair, and do something for your health: Go for a walk, and clean out your pantry!

Gluten intolerance as a diagnosis is now so widely used that it serves as the butt of jokes. But is it?

About 1 in 100 people have celiac disease – the genetic form. Many more have wheat allergies, and some suffer from the lectins (“anti-nutrients”) in wheat and other grains, seeds, and nuts. I won’t even mention the more than fifty percent of Americans who a seriously overweight, due to “our daily bread”.

Your health is important. When my daughter and I wandered the wild, lonely moors of Yorkshire this summer, every remote little inn and restaurant would carry gluten-free items. But we here still think it is a joke?

Yet – so many people have taken matters in their own hands, without waiting for the government to steps in and admit that not good fats are the culprits; wheat - and rye and barley and, sometimes, oats – are the offenders to our health.

One remedy does not work for all - that is the wisdom coming out of these letters. Seeing a good dermatologist and soothing your skin with some cortisone and/or other substance stands at the beginning.

Leave out gluten, dairy, nuts, nightshades (tomato, bell & hot pepper, eggplant, potato) - they are, in my experience, the worst offenders. But I have seen people react to spices, artificial colorings, preservatives, even to apples. Use nothing on your skin than virgin coconut oil, aloe vera gel (best directly from the plant), and your prescription ointment. Try to avoid make-up and read the labels of your shampoo and conditioner: Balm of Peru is only one ingredient that lets rashes bloom! Take a probiotic and vitamin D, and go out into the sun as often as possible - but never to the point of reddening or burning.

Then listen to your body - to the itch? What food makes you itch? What activity? Because every body is different, and my itch is not your itch. As soon as your itch gets better, avoid the cortisone cream, and go all coconut oil.

If your body itches consistently after a certain food, eliminate it - it is hurting you. Eczema is an inflammation of your skin (often on the basis of your gut being inflamed, too). And every bit of inflammation lowers the threshold for the itch, and a new allergy.

A lot of psychological theories are floating around – that certain personalities get it, that one gets it during stress, and so on. I think it is probably the inferior food we fall for in times of stress – comfort food that is loaded with sugars, white carbs and bad fats,. And when you have a chronic disease and an extremely itchy, disfiguring rash – yes, you might seem odd to so some people …

When you have healed, try to introduce some of the eliminated foods again - very, very cautiously. Some you might have to leave out forever, or may have them only very occasionally.

Go swimming in the ocean, whenever you can! - And my heart goes out to you poor thing!

Not that I should luxuriate in writing blogs while I am finishing my diabetes book, but to call attention to the problems with wheat – on this occasion I just have to do it.

Since this is my big theme presently, let me roll up the whole gluten conundrum from the diabetic side: Ninety percent of people with diabetes type II are overweight; ten percent are not. Now – what gives the ten percent their diabetes?

Genes, of course. But genes account only for part of the puzzle. Most slim diabetics have either type I diabetes (which I will not discuss here), or they have gluten intolerance. Disclosure: I am one of those ten percent, and while I don’t yet have full-blown diabetes with all the dismal consequences down the road like blindness, kidney failure, amputations, neurological damage, my number always hover at the upper border of normal or the low border of diabetes. For somebody who has brittle diabetes and ends in the hospital frequently, this seems a good place to be, and sure it is. BUT: By the time people are diagnosed with diabetes, a good third already shows sign of end-organ failure. Which means: They really already have advanced disease. I don’t want to wait doing nothing and closing my eyes.

So, what do I do? I move, for starters. I don’t go to the gym, but I work in the garden, play my cello, go for a walk after dinner with my husband, and do tiny exercises every time I get up from my chair during my long writing sessions (aaah – writing a book about health is not such a healthy thing, after all).

And I eat healthily. Fresh vegetables, fresh herbs, some fish, much less meat (but meat I do eat – and recommend), no dairy, no sugar, no sweeteners either, no trans-fats, and basically, nothing processed.

But back to gluten. We pray for our daily bread – and are not aware how recent the “daily bread” was invented – not longer than five to ten thousand years. Which is nothing in terms of evolution and our genes. Actually, our “daily bread” is around not much longer than monotheism – the belief in a single, singular god. I find that interesting: When we were hunter and gatherers, eating and nibbling and plucking from Nature wherever we went, we had multiple gods – the ones that were hidden in the groves, in the deep lakes, in the skies – and everything was whispering to us: Holy, holy, holy.

Then agriculture was invented with cattle and sheep husbandry, and we learned to sow and to reap, and suddenly there was that one stern god over us, telling to adhere to his rules – one obviously needs rules and timetables and schedules and order to be a farmer.

Forward a few thousand years to Mr. Kellogg, who gave us our breakfast cornflakes, and modern scientists who gave as bigger kernels of wheat, and then all the abundance that came with industrialization and prosperity – and here comes the modern American wave of obesity and diabetes. Where for millions of years always was scarcity – and that is what our bodies were adapted to for millions of years – now we can get the whopping calories of a burger for one dollar. Without to move out into the woods and hunt and gather.

If gluten is at the root of those ten percent of slim diabetics – so what! you exclaim, because you are fighting the pounds for most of your life. Gluten makes a few of us very sick – with celiac disease. Gluten makes a lot of us fat, with sickness down the road from the excess pounds.

Celiacs have no immune tolerance for gluten; they might get diarrhea, skin rashes, bloating, and all kinds of weird symptoms – including neurologic and psychiatric. Half of the symptoms are not showing in the belly, which is one reason gluten intolerance is still one of the widely under-diagnosed disease – even that the last ten years has turned the tide a bit.

The funny thing is: Wheat does not want to be eaten. Like basically all nuts and seeds, the wheat grain contains a family of compounds called lectins that are there to protect the grain from being eaten. The wheat plant has no interest, so to speak, to be gobbled up and extinguished. On the other hand, from the wheat’s point of view, of course, it is extremely advantageous that farmers everywhere now growing this seed that originally had a very narrow distribution, namely the Fertile Crescent of Mesopotamia. Somehow we managed to spread it more or less worldwide – or did the plant entice us to do its business?

Not sure. But nuts and seeds contain lectins that hinder digestion and make people sick with arthritis, depression, heart disease, cancer, diabetes, and so on – the celiac who runs to the bathroom ten times a day is only the tip of the iceberg. And it shows the wisdom of our bodies: To get rid as fast as possible of a toxic substance.

Wheat is addictive – it contains morphine-like substances that play with your brain and your longings just as cocaine and heroin do. I always picture how the first farmers, sitting placidly and satisfied in their hovels, invited the last hunters who came in from another fruitless hunt for something to eat (the rise of agriculture happened parallel to the extinction from overhunting the very large ice-age mammals – they had bison the size of elephants, and deer like cows at that time. The rise of monotheism happened at the same time … did we feel guilty for the overhunting??). The hunters got their bowl of gruels or their flat breads; it must have seemed heaven to them. As they never got enough of it, they came back for more and more, until they one day decided to plough a piece of land, and settle down as farmers themselves.

So, if you want to get healthy and/or slim, you first have to break the wheat (and corn! And sugar! But those are other topics …) addiction. You don’t die of starvation, if you leave out bread and pizza and cakes and cookies and muffins. You just get healthier. The food to eat: Vegetables, vegetables, vegetables. And some brown rice, as rice does not seem so addictive as wheat. It just doesn’t taste so yummy, yummy that you want more and more of it.

In all of this, I haven’t even talked about what they do nowadays once the too-big, overinflated-by-starch wheat kernel is harvested: They mill it and grind it and take the good stuff out, namely the coarse outer layers that contains vitamins and ls . The make white flour from naturally brown flour, and because it is known that white flour contains nothing healthy and leads to deficiency diseases down the road, the “fortify” the flour with vitamins and iron.

Believe me, nothing is as well “fortified” as the original grain. I mean the really “original” grain which we cannot retrieve anymore because the first grains were so puny – not much more then a few hard nibs in your mouth while you were searching for the really belly-filling rabbit or root. If you want to do wheat at all (and if you are a celiac, you can’t have it ever again! Also not rye and barley; perhaps not even oats), at least stick to dinkel and kamut, some of the older grains. Not as old to go back to the dawn of times, but going back a few thousand years, to the first cultured strains. They contain more hulls and “waste”, less gluten and starch. You also can try sprouted breads where most of the gluten has been used up in the process of sprouting.

Our modern degenerative diseases have to do with mostly four culprits: Wheat, dairy, sugar, trans-fats. Our redemption lies in the plant world: vegetables, herbs, fruit. A few beans, a few nuts. Some fish. And occasionally … a rabbit.

Against dandruff, I would use a birch sap "hair water" - a specific brand I get from Germany (and is very expensive here in the United States) is "Seborin". Another brand might be by Weleda. - This is used after washing your hair, and is left in to dry.

You could also make yourself a hair oil with olive oil and some essential oil, like rosemary, oregano, tea tree or neem. Rub it in before washing your hair. Leave it on over night, then wash it out.

Also, dandruff might have to do with what you eat: Avoid dairy, sweets, alcohol and white starches (which are nothing more than sugars in a long chain). And alcohols are a form of sugar, too.

We have talked about bone health before. But is comes up all the time. Here my thoughts:

• Light: A daily walk, sun or clouds for making vitamin under the skin. How high is your vitamin D level (blood test)? Should be over 40.
• Greens and other vegetables build bones. All plant material gives calcium plus all the other minerals needed for bone health. Fruit, nuts, herbs, legumes and whole grains are good, too – in moderate amounts.
• Avoid dairy and too much meat because their acidity leaches calcium out of the bones.
• Daily movement is important. Walking is probably the best. But anything helps – like cleaning out the garage or the attic, working in the garden.
• Sufficient sleep before midnight. Repair time in the body, according to Chinese Medicine, is between 11 pm and 1 am. If you are not asleep, repair can’t take place.
• Is your thyroid working normally? Over-activity leads to bone loss.
• Similar with the parathyroid glands: Make sure your PTH is in range. Is relatively rare – but an often overlooked problem.
• Unrecognized gluten problems can lead to osteoporosis. It turns out that half of all celiac patients have NO gastro0intestinal symptoms. So, it can unrecognized forever. Unrecognized gluten sensitivity is the most common cause of unexplained osteoporosis. Unfortunately, the tests are not 100% reliable – but a test is a beginning.

A whole fifteen minutes I must have stood in front of the yogurt section in the refrigerated part of the natural food store, reading labels and deciding what to buy. My natural inclination is the one with cream on top – they are so unspeakably yummy!

Which means that all the “skim milk” and “low fat” varieties are out for me. I also don’t like anything added – no fillers, no flavors, no fruit, not even simple honey. I want the real thing. Already, I have few items to look at.

What I found out from the labels:
• Greek yogurt does not come from Greece
• Bulgarian yogurt does not come from Bulgaria
• Middle-eastern yogurt does not come from Syria, Israel or Jordan
• Goat yogurt always seems to have tapioca in it
• Sheep yogurt has the highest fat contents (good for my brain that craves fat all the time!) – but I could not find one any without fruit or honey. I will look around for a plain one.

Of course, I’d always choose organic since I don’t want added bovine growth hormones in my yogurt – it’s bad enough that milk (cow, sheep, goat, mother’s – whatever) already comes with a wallop of natural growth hormones. Why? Because milk was invented to let tiny babies (calves, lamb, kids, human infants) grow very fast in the first few months of their lives. I don’t need to grow anymore – in neither direction – and I rather don’t have sleepy cancer cells in my body wake up and indulge in a growth spurt. This thought actually made the whole yogurt idea rather unappetizing. Especially, if one considers that they also provide tons of inflammatory milk proteins, which give us arthritis, depression, diabetes, heart disease, cravings, and so on.

You already know that I don’t buy into the myth that dairy gives us needed calcium. Those, and all the other minerals to build strong bones come from the plant kingdom: vegetables, legumes, herbs, nuts, fruit.

It doesn’t mean that I am not still dreaming of creamy yogurt. Not to mention that they contain probiotics – healthy bowel bacteria.

Finally, I came across coconut yogurt, which I had never seen before. Again, that one contained fruit and chicory root extract. But it gave me an idea: I can make my own!

Years ago, traveling in Turkey, a chef (God bless him!) showed me how to make yogurt: Bring a pot of milk to nearly a boil (to kill bacteria) – 90 C, or around 190 F – and keep it there for about twenty minutes, let it cool down so that you can touch it, add a spoonful of yogurt that provides starter bacteria, wrap the pot into a towel and cover it in your bed. Hours later, the pot of milk has turned into wonderful yogurt.

Starter bacteria can also be gotten from those probiotic capsules: I have some with those Bulgarian lactobacilli; they can be whipped into the milk.

Two secrets for making yogurt:
• Keep every item you use very clean (preferably by heat treatment in boiling water) to keep out “bad” bacteria
• The desirable temperature in your bed (or in a “cooler”, or in a rice cooker) is between 37 C (ca 100F) and 55 C (ca 135). Higher, and the “good” bacteria will die; lower, and they will not multiply.

Coconut milk contains no milk sugar – lactose. So, in the production one has to add a spoonful of table sugar for the processing, as the bacteria need food to thrive and divide. Make a small batch – full-fat yogurt contains a heap of calories (even that I never count calories!).

Unfortunately, I have to wait a month, until we will be back at the East Coast. There I have a crockpot, which I will try. And I will use the thermometer I bought here to measure the temperatures in my Californian pool … I will report!

Because I am in traveling stress again, today only an easy dessert recipe:

Only because we are eating healthily, we do not have to eat drab, boring, impalatable things. On the contrary!

Here is my recipe for a quick dessert. I tried it with quince compote and fresh papaya; my gut feeling is you can use it with any fresh or cooked fruit. If you make it with papaya, it takes no time at all:

Half the papaya, scrape out the seeds. Pour over a bit of coconut milk that you have shaken before in a lidded plastic container. It comes out as creamy as whipped cream – but it is healthier. Different brands come out differently well; I like the red Thai can – don’t use the “light” version as it is more adulterated. Sprinkle a tablespoon full of chocolate nibs over everything. The “nibs” are cut cacao beans, not processed at all – no sugar, no dairy. Delighted our guests.

With quince: You cook the quince in whole, after washing, with raisins and slivered almonds (or any nuts/seeds) until soft. Cut the flesh of the core, pour raisins and nuts over it. Cool in the fridge. For serving, add coconut milk and chocolate nibs.

The coconut milk lasts at least a week in the fridge – if it lasts that long … And this dessert is not fattening; it satisfies your appetite for real food. Empty (=simple)carbohydrates (cookies, cakes, muffins, etc.) are fattening!

You probably heard it: On average, people gain fifteen pounds in the first few years after their wedding.

It is only natural that we want to pamper our spouses and want to feed them – the birds and the animals do it. The point is to put the right and healthful morsels in your spouse’s mouth. Because food can hurt. And food can heal.

Also: Get moving – together! Because marriage can be more than watching the same TV programs for fifty years from the same sofa.

Here a few ideas:
- Attend a cooking course together
- Alternate who prepares breakfast and cooking dinner - and then discuss after which meals you feel better
- Stop all snacks, preferably before you have children who will follow your example
- Plan an outdoors activity every weekend: a hike, a bike tour, a walk, a (healthy) picnic, a dive - whatever moves you
- Have sex often – it’s good for the marriage and good for the immune systems
- Take turns on a simple rowing machine/stationary bike in front of TV
- Eliminate all dairy (butter, cream, yogurt, milk, cheese, etc.) most of the time – and experience the difference
- Find recipes for a sinful birthday cake made without flour (hint: Viennese walnut cake - made of nuts and cream)
- Don't spend your money on juices and soft beverages; stick to water, herbal teas, green tea, black tea.

Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.

Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.

1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.

2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.

3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.

4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.

5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.

6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.

7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)

8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.

9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.

11. Exercise moderately.

12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.

13. Get enough sleep. Your body needs to repair during sleep.

Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier.

Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.

Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.

Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?

Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.

Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:

1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon!

A recent study shows that stress increases interleukin-6, a powerful agent of inflammation in the body. Interleukin-6 is, of course, not the only chemical in the body that is affected by stress: Stress creates free radicals that make you age faster. Stress puts the body in high alarm mode via adrenalin and cortisol. Stress decreases growth hormones and stunts the development of children. Stress increases abdominal fat, which leads to diabetes and other diseases.

Stress makes us sick; with this new study, we know a bit better how that happens: Years and years of inflammation in your body can lead to diabetes, heart disease, depression and cancer.

But did you know that there is bad stress and good stress? Bad stress is what life and other people do to you; good stress comes from setting yourself goals and working hard for it. Balance is the keyword here.

Balance fights stress, as European Natural Medicine knows:

• Movement: Moving around most of the day breaks down stress hormones in your muscles, and makes you feel relaxed. Again, too much exercise and competition can wreak havoc in your body. But daily walking is the minimum. Find a healthy balance between slouching and overdrive.

• Eating fresh food: Vegetables (cooked or raw), fruit, beans, nuts have powerful compounds that reduce inflammation in the body. Foods that increase inflammation are: sugar, white starches, dairy, grain fed animals, bad fats (especially fried and hardened). Grains (even whole grains) are sort of in the middle between good and bad: better than white flour, for some people they still trigger the body’s inflammation response. Observe yourself to find out where you stand. - Anything you are allergic to works in your body like a flame-thrower, increasing inflammation.

• Herbs and spices are packed with anti-oxidants, vitamins, and so on. They gobble up the free radicals and they add taste, zest and decreased inflammation to your life. Today I will just mention two: ginger and cardamom. Put some ginger and/or cardamom in your tea or herbal tea – they both are perfect winter spices.

• Touch: The more you touch and hug and kiss, the better you feel. I am not talking about sexuality though – even if the sex cravings of some people might be explained thus. I am talking about loving your family, your friends. Getting into complicated affairs might only increase your life stresses.

• Keep a pet: Companionship and again, touching, lowers blood pressure, and makes people happier and live longer. Loneliness kills by breaking your heart. A cat shows you the wisdom of taking it easy; a dog is always happy to see you.

• Water: A dried cell is a stressed cell. Make sure every cell of your body is watered well (but not water-logged) to decrease stress on the cellular level, so that the healthy biochemical reactions can take place and sustain your life.

• Sleep is the most important and most definitely underused stress reducer. If you stay up late for TV, a computer game or just plain old partying, you create the set-up for a stressful next day. Be in bed before ten at least once a week – just to be reminded how good it feels not to have to rush through sleep.

• Joy – put as much of this stress reliever into your life. One of the easiest – and most needed – ways to arrive at joy is working for the joy of other people.

Years ago, I found myself in a hotel at the Dead Sea in Israel. The hotel also catered to patients, because it has been shown that sunlight and saltwater improves such conditions as eczema and psoriasis.

The hotel had an excellent buffet with all kinds of healthy vegetables and gorgeous fruit. For me most striking observation was that the patient group flocked around cheese, cakes, cookies, pizza, lasagna, spaghetti with meatballs, and bacon, whereas the other travelers delved into the abundance of fresh foods. In addition, the patient group was visibly more overweight than the others. I had a hard time not pointing out to every patient the damage they were doing to their bodies just as they were seeking the healing waters of the Dead Sea.

You go online for eczema remedies, and you find a thousand products screaming “Here! Buy me!”

This is my simple advice:

1. Get rid of anything you might be allergic to. – Some researchers deny that allergies play a role – I don’t agree with them; but let’s not call it allergies then, but food intolerances. Because in many cases, food intolerance plays a role in psoriasis and eczema – and the Standard American Diet (SAD) is especially at fault. The offending foods? The list I gathered from my patients is long, and dairy for sure tops it. Citrus fruit, wheat (and, by association, barley, rye, oats), soy, nuts have been most often the culprits in my patients. Coffee (including caffeinated) seems to trigger eczema too.

2. Use coconut oil on the affected, itchy, thickened skin. Coconut oil is anti-bacterial, soothes the itch and helps the poor skin to heal.

3. If you can afford, vacation at the ocean. Moderate sunlight and saltwater do miracles for posriasis and eczema.

4. If you want to go the extra mile, get a good probiotic (bacteria that are helpful for bowel health – but not frpm yogurt, take capsules) to heal your gut, and take fish oil capsules against inflammation.

Often this works also for rheumatoid arthritis and other auto-immune diseases, too. An additional biggie in psoriasis is alcohol – avoid it.

Some other ideas why people now get eczema are that babies are brought up in a too clean environment, and that emotional issues play a role. The first we can’t do anything about once you are grown-up. The emotional issue – well, we all still struggle to grow up, don’t we? Can’t hurt to work on that.

Chances are you are taking a calcium supplement because are health-conscious?

But do you really need it – or are you even harming yourself with your calcium pill?

It is true that bones need calcium for growth. What is not true is that calcium alone gives us stronger bones. Bones need far more than just calcium: Other minerals like potassium, magnesium, manganese, phosphorus, chromium, sulfur, selenium, boron – and others – are necessary for bone health. Without these other minerals, calcium alone is pretty useless.

Besides, calcium pills – those fat bummers that are hard to swallow because of their size – are also hard to digest. As a physician, I have seen my share of undigested calcium pills popping up on x-rays, somewhere lying in the bowels, useless.

That milk is an unsuitable source of calcium, you have heard here before. Besides being an unhealthy food, the calcium from milk is also not as readily available as the calcium from vegetables, fruit, legumes, whole grains and nuts. The plant world is so abundant in calcium that adding vitamin D to milk as a selling argument comes close to a joke: Dairy is a cause for obesity, heart disease, diabetes, cancer, and so on.

For good bones you need a host of minerals – all conveniently available in plant foods – plus sun and exercise. Not so much sun, actually, as light. Even on an overcast day, a midday outdoors walk will trigger the necessary amount of vitamin D production beneath your skin. Inner-city people with dark skin are mostly at risk of osteoporosis because they need more sun exposure.

And if you don’t move, you will lose your bone strength fast. A little known fact: We are losing some bone every night, from being inactive during sleep. An active person will rebuild that loss (and more) the next day. An inactive person won’t.

A study in the British Medical Journal recently found that calcium supplement could increase the risk of a heart attack by thirty percent. Clearly, we have to rethink health: Health does not come from pills. It comes from a lifestyle that uses our body for which it is intended: joyful activity, fresh foods, sufficient sleep. And hugging and kissing, if you ask me.

I's apple time! One can buy a whole bag full for a dollar or two – or one just picks them up where they lie and rot otherwise. It is always amazing to me how little people care for food available for no money at all.

When I grew up in post-war Germany, we children were always hungry. The grown-ups probably too. But they didn’t let on. The best food we children could dream of was the hot chocolate pudding sauce served in school (thanks to the Marshall Plan, I think!). Most children had a military mess tin that at lunch break got filled with some indefinable soup. For many it was the only warm meal of the day.

My father did not allow his children to take part in school lunch. Number one, we were relatively well off – patients often paid in naturalia: a kilogram of butter here, a feathery chicken there. But my father also thought – far-sighted physician that he was – that the public lunch was not healthy.

We harvested berries and cherries and pears and apples from the garden. My grandfather made the most wonderful apple jelly each fall which we would eat all winter.

Remove the apple cores - but not the skins. Cut the apples in slices and put them in an oven pan in two layers. Sprinkle nuts and raisins over each layer. Add a few dabs of ghee (butter fat) or a few drops of olive oil.

Bake on low for a long time – at least an hour.

For nuts, all of them work. Yesterday I used sunflower seeds on the first layer, walnuts on the second. Sliced almonds are good, too. Instead of raisins, you can use dried cranberries, dried blueberries, dried cherries.

In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.”

Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was.

If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup.

Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food.

Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then.

If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too.

There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself:

• Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything.
• In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs.
• Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled.
• Has anybody in your family a bowel disease? You might have the same.
• Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears,
• Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting.
• Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it.
• If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies.
• Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want!
• Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run.
• Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand.
• Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies.
• Chew well.
• Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies.
• Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them.
• Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us.
• And most importantly: Don’t eat it if it hurts you!

Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems.

Reflux is one of those ailments which keep people going to the doctor and take medication forever – and on the face of it, there’s no cure.

And, in the long run, it can be a dangerous disease. Longstanding erosion of the esophagus can lead to Barrett’s esophagus and even cancer.

Why are so many people with the diagnosis of reflux?

Reflux is, in most parts, another disease with owe to SAD – the Standard American Diet. People have intolerances to certain foods and allergies, and those keep the esophagus (and possibly the stomach and the whole gut) inflamed. Instead of eliminating the offending foods, the doctor prescribes Zantac or Tagamet or even one of the stronger proton inhibitors. And has gained a life-long patient.

In the long run, those stomach medications create new problems: Since they all reduce acidity, they also may hinder digestion, and further infections as the stomach acid is supposed to kill invading germs.

Heartburn only comes in very rare cases from producing too much acidity for no good reason (that condition is called Zollinger-Ellison syndrome, and should be ruled out by your doctor if the burning goes on relentlessly, regardless what you do). Normally, your stomach reacts with acidity when you eat something wrong. Or if you just each too much, period. So, why fighting the acidity, if you can eliminate the underlying cause?

Sometimes physicians diagnose a “hiatal hernia” – a gap in the diaphragm that allows the stomach to come a bit into the chest area. No connection has been found between HH and reflux. It seems that many people have a hiatal hernia, for reasons unknown – or for carrying a paunch that pushes the organs up into the lung cavity; for instance, it is very well known, that heartburn is extremely common in highly pregnant women. Perhaps also lacking exercise makes the diaphragm go limp. Whatever it is, hiatal hernia does not cause reflux.

If you want to break that cycle – here is what you can do:

Find out what your body does not tolerate. It is not difficult. Write a food journal. The most common culprits are, in my experience,
• Gluten
• Dairy products
• Corn syrup (HFCS)
• Tomatoes (and the whole nightshade family actually – peppers, eggplants, potatoes, too).
• Chocolate could be the culprit.
• Or nuts.
• Harsh foods: alcohol, caffeine, citrus, and spicy foods.
• ANYTHING can lead to a reaction. And not only burning in your esophagus; bloating, cramps, diarrhea, constipation, joint pains, migraine headaches, and many more symptoms can stem from food intolerance.
• Certain medical drugs are the culprits – Fosomax, for instance, that is intended to make your bones stronger (I would not touch it because of its side-effects. Better food and more movement certainly gives you stronger bones without side-effects).
• Sometimes it is not the kind of food but how it is prepared: raw versus cooked. Usually, cooked is easier on the stomach.
• It might be the timing: Some people get away with a raw salad or an acidic fruit during the day, but not at night, as the last meal that lingers in their stomach.
• Or a whole food group: Many people do better without sugars and white starches and reduced whole grains.
• Basically, all junk foods and processed foods are under suspicion. They contain trans-fats and preservatives, coloring, stabilizers, flavorings that are alien to you body.
• Drink enough water - but not with meals or right afterward.

Of course, it is better, to not be indiscreet in the first place. But if you are looking for healing alternatives:
• Mastic gum is my favorite; it is an agent that covers the stomach and helps if you have been indiscreet, food-wise. Unfortunately, mastic is not cheap. An alternative, paid by insurance is Carafate, with a similar action.
• DGL licorice helps – it is a deglycyrrhized licorice that does not have the bumping effect on blood pressure. This comes also as a lozenge.
• Other herbs that soothe the stomach are chamomile tea, aloe vera juice (or eat directly from the plant – the jelly-like inside of the leaf; avoid the green outside leaf – it is a harsh laxative), slippery elm, plantain banana, calendula and marshmallow (the real herb – not the sweet candy!), cabbage juice, artichoke extract. But watch it: I, for instance, have a chamomile allergy; that would make the situation worse.
• It is always a good idea to start out with the Ayurvedic herb neem which kills all sorts of infections because, unbeknownst, germs can cause all the indigestion. Ask your doctor.
• In an acute attack, sleep with your upper body a bit elevated (turns the flux downward).
• Always chew your food well! Big chunks might lie in your stomach like stones.
• Help your whole digestive tract with probiotics.
• Eliminate stress – especially when you eat. Sit down for three meals a day – don’t gobble things down on the run!

This is what to avoid – besides hurting foods:

• Too big meals.
• Eating after dinner.
• Peppermint – as it has a relaxing effect on the sphincter that closes of the stomach.

A reminder: Before you embark on a natural healing course, it is a good idea to have endoscopy – because you don’t want to overlook anything serious. And make sure your doctor looked for an H. pylori infection. On the other hand, there is evidence, that a bit of H.pylori might be necessary for normal digestion – and triple antibiotic definitely could do some harm.

And then – just to confuse things: Elderly people often have too low stomach acidity, and if they are taking medications that lower it even more, one can imagine that this will lead to problems. There is a supplement for this condition: betaine HCl. And some patients with can be helped with digestive enzyme – a whole new topic.

As often as I tell my patients that dairy is unhealthy, they have a hard time abstaining.

So, let’s discuss which form of dairy is the least detrimental.

• Make sure you buy only organic. Commercial milk has extra growth hormones – and dairy is a hormonal food to start with.
• Ice cream: Probably the most unhealthy form of dairy. Not least because it is laced with sugar. Even yogurt ice cream is discouraged, for that reason. Highly addictive. And not needed in your diet because it has no nutritional value. Get your calcium from vegetables and herbs, whole grains, legumes and nuts, and your vitamin D from moderate sun exposure.
• Same with chocolate milk or any sweetened dairy product, like custards, including all yogurts other than plain ones.
• Cream cheese is made by adding more milk solids to milk. So, it is enriched with milk proteins. A bad idea.
• Cheeses: Never eat anything that is not cultured cheese but “processed.” If it comes in a perfectly square form, don’t eat it. Because nothing in nature comes square. Cheese is best to avoid – it is responsible for much of our present obesity epidemic.
• Raw milk is less adulterated than commercial milk, but you run the risk of unpleasant infections. If you know the farm and the farmer, you might want to take the risk. Still, raw milk naturally contains hormones that might make invisible or already diagnosed cancers grow.
• Whole milk is better than skim milk because it is less processed. It also contains less protein (because, by definition, skim milk contains less fat; consequently it contains more protein). And I am not worried about the milk fat as much as about the milk proteins because they are allergenic and they are inflammatory.
• Which means that butter and heavy cream are better than whole milk because they contain even less protein. The best, obviously, is ghee – or purified butter, also called butterfat. There the proteins have been skimmed off. Ghee does the least damage as far as inflammation from dairy goes – but you still have to worry about calories. We are less concerned nowadays with saturated fats. In moderation, they seem to be good.
• The best butter would be European cultured butter. No extra growth hormones, preferably from grass-fed cows.
• Yogurt, kefir, crème fraîche are cultured foods with wholesome bacteria (provided no fruit, sweetener, etc. are added). Make no mistake – they are still dairy products with inflammatory capacities, and contain hormones that might trigger cancer. Even worse, they are delicious and highly addictive. Once in a while, celebrating something grand, I allow crème fraîche on the table…

If you consume dairy products, observe how you feel: Do you experience bloating, reflux, joint pains, headaches, breast discomfort, cravings? Or what else? Become aware what dairy does to your body – and try to avoid it.

“Give us our daily bread” is a prayer. If somebody is out there to listen to this prayer, He seems to prefer to listen to First-World supplicants; the Third World does not need to apply, apparently.

World hunger is appalling, but perhaps it is beneficial that not all people get to have their daily bread. Because our staple bread, surprisingly, contains ingredients that might hurt you.

All seeds – including grains, legumes and nuts – contain indigestible parts. It is a survival strategy for seeds: They don’t want to be eaten, they want to germinate and build new life.

About five to ten thousand (depending on where people lived) years ago, the agricultural revolution happened. Suddenly we were eating grains (the other part of the agricultural revolution was coaxing cows into give up their milk for human consumption). When people still were hunters and gatherers, grains barely ever showed up in their meals – grains then were trifling kernels, not worth the effort. Cavemen ate greens, roots, nuts, small fruit (big fruit are the result of modern hybridization), game, fowl and grubs – whatever was available. Not much was available, so famines and starvation were frequent – especially after mankind had successfully hunted to extinction the huge animals that populated the world in prehistoric times: huge deer, woolly mammoths, giants pigs, and so on.

Agriculture was a step forward. It provided more calories, and reliably so. More children could survive; populations slowly increased.

But grains come with a price: They contain antinutrients (such as lectins, phytates, protease inhibitors) that have negative health consequences. These ingredients interfere with the successful uptake of important molecules – mostly minerals, like calcium – and they are harsh on the gastro-intestinal tract. As they are indigestible, eating them can lead to upset stomach, bloating, diarrhea, even colitis.

But things are never easy: Polyphenols and flavonoids are also antinutrients, and we surely want those in our daily fare (though not in overdose).

Antinutrients can be destroyed or at least reduced by cooking, sprouting and fermentation. About fermentation and its benefits we have already talked. We also discussed raw foods-only diets, and that cooking makes more nutritional components available.

Soaking and sprouting is a method still not used widely enough. I can't marvel enough that the simple fact of adding water to a seed will make it easier to digest (be aware that for some people it is not enough to eliminate the digestive problems). Store-bought sprouts in the past have occasional had problems with germs, alfalfa and soy bean sprouts, for instance - a good reason to do it at home. Just keep your (simple) equipment clean. There are a few tricks for different sprouts from amaranth to Brazil nuts, from mung beans to lentils which I don’t want to discuss here – information is easily found on the Internet.

This is my stress-free methods: Soak in clean water overnight. There are plastic jars available at health food stores with sieves of different sized hole, for small and bigger seeds. One can also just (and perhaps healthier without plastics leaching out) use glass jars and paper towels and/or cheese cloth for straining.

Pour off the water next morning, rinse in clean water (repeatedly, if the water is cloudy) and let stand for sprouting (or beginning to sprout). Eat your sprouts during this day. For me it works – without being too meticulous about it. I like sunflower, flax, sesame, almonds. Make sure you start with seeds that have not been irradiated, roasted, salted or processed in any way; organic is preferable. Make sure you don’t let them sprout for too long, they might get bitter. Experiment with different soaking/sprouting times. Anything longer than two, utmost three days can lead to mold – discard it. Always clean jars and sieves thoroughly.

Add sprouted seeds and nuts to bean dishes, leftovers and as snacks.

If you seem to have “allergies” to every single nut or seed there is, try removing antinutrients by soaking and sprouting. After all, yours might not be a real allergy, you might just not be able to digest certain indigestible food ingredients. Which is determined by genetics.

In the summer, we don’t like to eat heavy foods. We have a natural tendency, an innate knowledge, to eat lighter in hot weather. Braised lamb red, cabbage and sweet potatoes is a combination I would not serve now; in the fall, with temperatures down, it will be delicious.

Here is a recipe for a light shrimp salad, easy to make:

• About five to ten cooked shrimps per person. Remove tails and slice the shrimp lengthwise. (Instead of shrimp, cooked lobster, chicken, mussels, crab meat, mushrooms would work).
• Add an onion, finely chopped.
• A can of mandarins or pineapples, or fresh apple or pear (or whatever fruit, you fancy).
• Walnuts or almonds or whatever nuts.
• A bit salt and pepper.
• Fresh or dried dill (or any herb).
• And mayonnaise – as little as possible. I prefer a mayonnaise made with olive oil. You can stretch the mayonnaise with juice from the mandarin can, or with a few drops of olive oil; or both.
• Serve the shrimp salad with corn on the cob, broiled (with sunflower or sesame seeds and olive oil) asparagus, and lentils or a multi-grain bread.
• End the meal with fresh fruit – a watermelon or cherries or strawberries from the field.

This is a good example how I cook: I use what I have at hand and what is fresh and in season and therefore cheap. It never tastes the same twice. And never ever ask me: How much? I am a “feeling” cook, not a measuring one.

This is a Sunday dish. Eating mayonnaise every day is not such a good idea for the waist line – even if it is finger-licking good. By the way, if you have a mixer, you can make your own mayonnaise: Separate eggs into yolks and egg white (use the whites for making meringues later). Beat the yolks until they stiffen a bit. Drop by drop add olive oil – never stop beating, slowly first, then faster. The secret is in never to add too much oil at a time so that the mayonnaise does not curdle. Takes five minutes to make.

Summer fare is about freshness and moderation. Thinking about it: It's the same in the winter. Except that in the summer, the heat helps you with the moderation part - it curbs our appetites.

The raw foods movement is an ideology – just as the vegetarian and vegan foods movements are. Fact is that we are omnivores. The length of our intestines, the shapes of our teeth, the hydrochloric acid produced in our stomachs, digestive enzymes produced in our pancreatic glands and our appetites – they all are witness to that fact.

We are omnivores because during evolutionary times, we did not have much choice in what we ate: we had to eat what was at hand, from roots to rabbits, from grubs to greens.

We need a diet that is mixed from raw foods and cooked foods. Recent research shows that mankind has had fire much longer than we thought; we used to think that fire came only about 100,000 years ago. Now the estimate goes to a million years, perhaps two million years. That time is long enough that our bodies have adjusted to cooked food.

The main advantage of cooked food is that we can get more nutrients out. Yes, a few vitamins get destroyed in the cooking process, but overall we gained.

Do we need a fixed ratio between cooked and raw foods? No. Naturally, we tend to prefer longer cooked foods in fall and winter, and raw foods in the summer. We eat more raw food in warmer climates. We are adaptable.

We also have different needs. A person who is warm, can take more uncooked food. A person who is always cold, can't digest raw foods well.

A raw or vegetarian or vegan diet is perfect to detoxify your body when you have lived too many years on too much meat and fast foods. People like to stay on a diet that made such a dramatic difference in their lives, and are often not aware that they might run into deficiencies after a while. I have seen too many patients on a vegetarian diet that consisted of pizza, donuts and ice cream.

After a month or so on a raw/vegetarian/vegan nutritional regimen, the body needs to go a bit more toward omnivore again – a little bit meat and fish, once to twice a week, if one wants to avoid too much meat for reasons of protecting animals and/or the Earth. To get protein and vitamin B12 from fish and/or eggs, it is sufficient to eat animal fare about once a week; more than twice a week might have negative outcomes. There is enough protein (not as perfect though) in nuts, grains and legumes to feed people most of the time.

The discussion raw vs commercial milk (or: a potentially infectious vs pasteurized, homogenized, fortified – adulterated foodstuff) should not be discussed with other raw food issues. But so much here: Dairy in any disguise is not healthy and not necessary - except in rare cases of non-thriving children. The two food groups you don’t need are dairy and white starch.

Nuts would be the ideal food if it were not for their fats and calories.

True?

The problem with nuts and seeds is not their fat contents; it is that we don't regard them as food; we eat them as snacks. Which is to say, we eat already too much at lunch and dinner, and in between we delight in the taste of nuts.
Uh-oh. Thus their calories will end up on our hips.

But if your lunch would be a handful of almonds and a fresh fruit, you would get your all your nutrition requirements in an ideal vehicle:

• Nuts don't need refrigeration (at least not in the short run) or re-warming
• Nuts contain all three major building blocks - proteins, carbohydrates and fats - mostly 'good' fats
• Nuts are full of minerals and vitamins
• Nuts are full of enzymes - and enzyme inhibitors.

They contain natural and essential phyto-nutrients, and we are just beginning to understand their importance for health.

How do the enzymes work in the nut? Nuts and seeds are carrying within them the ability with sprouting new life - all what they need is water. For creating new life, hundreds of actions to build future plant tissue are required. And for those actions to happen, the seed is packed with enzymes. But the actions should not happen prematurely, while the conditions are not right yet. To hinder too early action, nuts and seeds contain enzyme inhibitors.

The moment one adds water, one destroy the enzyme inhibitors - basically, the germinating starts. Soaking nuts and seeds in water over night also makes nuts more easily digestible.

Nuts might help weight loss.

Weight loss on nuts? Am I nuts?

Indeed, nuts and seeds can help lose weight - despite their infamous fats.

• Nuts need thorough chewing. And one reason of binge eating is that a gallon of ice cream, soda pops and donuts do not satisfy your jaws' desire to chew. There's nothing more satisfying than crunching your way through a handful of nuts.
• The high fat content of nuts and their enzyme inhibitors delay stomach emptying, making nuts last longer. In comparison, sugar and starches (which are nothing more than one sugar molecule after the other in a long chain) will be digested in seconds - and will you make crave more soon.
• Nuts quench cravings by offering many nutrients.

Quench cravings? How does it work?

If one eats a doughnut, one basically eats a ball of starch and sugar, baked in bad fats, coated and sprinkled with sugar. Its white flour is devoid of any of the bran, good oils, minerals and vitamins the wheat grain originally possessed - everything has been milled out. After one doughnut, your brain feels a wonderful rush of incoming brain fuel - sugar - and wants more of the same. So you eat another one. Your brain feels high, but your body screams for the rest of the stuff that used to come with sugar and fat: the minerals, the vitamins, the enzymes. Not knowing better what your body really wants, you grab a third doughnut.

In my twenties doctors had different explanations about the weird aches and pains I complained of. They were either from aging (in my twenties!!), or they were all in my head, or – poor redheads all over the world! – it was just that redheads had lower pain thresholds.

Research meanwhile has confirmed that redheads have actually higher pain thresholds. Besides, I had a whopping but unrecognized case of gluten intolerance, probably since birth. Took me many years to figure it out.

You, too, might have gluten intolerance. Estimates go that one of one-hundred-five people has, most of them not yet diagnosed. Most of them are blond and blue-eyed – but not all of them (otherwise the diagnosis would be easy!).

Of course, aches and pains can have other causes than celiac disease (another word for gluten intolerance; as is non-tropical sprue). But food is often the culprit - dairy, in my opinion, the worst since it is highly inflammatory (besides fattening). If you have arthritis, tendinitis, bursitis, fasciitis – or any “…itis" in your body, leave out milk and milk products for at least a month, and see if you get better.

Other suspicious foods are nuts (which, on the other hand, are very wholesome if you can tolerate them), nightshades (tomato, potato, eggplant, bell and hot peppers). Food additives can give bad reactions (and should not be in your food in the first place). Food intolerances can be very individual – for some it is an innocuous apple, for others shrimp or peanut or banana. By keeping a food journal you might find out – or help your doctor to find out.

Finding the cause and avoiding the offender, is the first step. On top of it, there are many herbs that reduce inflammation, like turmeric, garlic, rosemary. In fact, so many plants contain inflammation-dousing phyto-nutrients that eating more vegetables and herbs already might give you relief. If you want an herbal preparation, I usually recommend Zyflamend (be sure you have no allergy to any individual herb in there).

A good fish oil (you should not burp up fish!) has excellent anti-inflammatory action. As does olive-oil (unheated) in your salads. And lastly, a good probiotic, to quench the fire in your belly: Most inflammation originates in an inflamed bowel.

What we often call food “allergies” might be forms of intolerance with different pathways, physiologically speaking. The poisonous effect of wheat gluten in gluten enteropathy worked via a different mechanism than dairy-induced asthma; or the poison ivy dermatitis; or likely immune-complex regulated arthritis. Science has not totally elucidated these mechanisms; food “allergy” might be the incorrect term but has become common.

The diagnosis is difficult to make and to confirm; but if you don’t even think of allergy, the diagnosis can’t be made. Many physicians are not trained in this. However, you might need professional help if self-observation does not solve the problem. Since all of these conditions can also be caused by far more serious diseases, by all means work with your doctor.

Here is a list of signs that should make you wonder if you have an unrecognized food issue:

Food cravings: The more you like a food the more likely it is that you are allergic to that food. The more frequent you eat a certain food or a food group the more likely is that you will develop an allergy to it.

Fatigue: After a meal you are tired. We all are tired after a heavy meal; but if you are extremely tired even after a smaller meal you should search for an allergy.

Abdominal discomfort after a meal - often within minutes but unfortunately it can even take a day or two - you feel bloated and distressed in your stomach. Diarrhea is already a more severe sign and, if chronic or intermittently recurrent, should be evaluated by a physician. Heartburn seldom is recognized as stemming from food allergies – but it often goes away when you stop eating nightshades (tomato, bell and hot peppers, eggplant, potato), nuts or dairy.

Weakness: About fifteen minutes after a meal lift your arms: If they feel heavy or ache more than usual - compared how light you felt in the morning - this might be a case of allergy.

Mouth: Burning in your mouth, tickling in your throat or sores in your buccal mucosa or on your tongue might signal an allergy.

Bladder: Slow flow of urine can be a sign of food allergy, due to a swelling of the urethra. Or burning of the urethra in males. Or recurrent signs of urinary tract infections – with or without bacteria growing out in culture. Irritable bladder (interstitial cystitis) might respond to leaving out coffee and certain foods.

Thirst! If you are thirstier than other people – always running around with a water bottle in your hand – think allergy.

Most common food "allergies" I have encountered in patients: dairy, nightshade (tomato, potato, eggplant, all peppers except black pepper, chili, cayenne, paprika), nuts, wheat, corn, beef, food dyes and food preservatives. But basically every food can become a culprit. If you have pinpointed one food item as allergenic for you, compare it with other items in the same botanical family (like nightshade).

Usually that gets me a stare. Am I serious? Yes! Every time you find yourself saying you “luve” something edible, start re-examining your eating habits - and your life. A famous story about the former German President Gustav Heinemann (1899 to 1976) goes like this: A reporter asked the President if he loved Germany. “No,” said the President. “I love my wife.”

Nearly invariably I find that patients who “love” certain foods, have an allergy to them. One shouldn’t “love” cheese – and yet, so many people do. Very often, the beloved food is from the dairy group (my downfall is whipped cream!). There is but one solution: DON’T EAT IT!! I used to eat nuts daily (they are chock-full of mineral and vitamins and good fats), until I found out that they caused my extreme fatigue. No food should appear on your menu every single day. The more you rotate, the less likely it is that you get a food allergy.

Besides that you might suffer from a food allergy, it seems (to me, at least) that you don’t have your priorities right. Food should not be loved; food should sustain your life. Your life should be bigger than ice cream and pizza. The same goes with “hate” as in “I hate red beets”. Beets are tasty, and they are healthy. On should not “hate” anything.

Get a life! Ice cream is not a life. We have world hunger and fuel shortage and water scarcity and poverty and injustice to mend. Just start somewhere!

My neighbor comes by yesterday, limping and moaning: Acute back pain. Knee jerk reaction: I send him to a Trager practitioner.

The neighbor returns later, with his son, to tell me about the miraculous treatment. The practitioner seems to think this is not a disc but a sacrum problem, somehow. I offer the son a piece of chocolate (dark, milk-free - of course); the boy declines politely because he just had chocolate - with nuts. The father brags that he is eating a lot of nuts, for health - especially cashew.

Cashew?? Cashew is in the poison ivy family (Anacardiaceae, or sumac family). It is well known for inducing inflammation in the body - especially in the back and joints.

So, this is the diagnosis: Cashew-induced sacroiliitis. Probably not helped by a recent flight from Europe and long hours of sitting at the computer. Not to mention a little bit of weight gain (when your belly grows, you bend backward and compress the area of your lower back - just watch a pregnant woman waddle by).

Besides Trager movement education, I recommend Zyflamend (an herbal concoction that is expensive but has anti-inflammatory action). And, needless to say: No more cashews. Oh, and no mangoes - same family.